Cognition refers to mental activities associated with thinking, learning, and memory. Cognitive impairment for the purposes of this measure set related to documentation that the patient cannot be screened for tobacco and aclohol use due to the impairment (e.g., comatose, obtunded, confused, memory loss).

Suggested Data Collection Question:

Is there documentation in the medical record that indicates the patient is cognitively impaired?

Format:

Length:

1

Type:

Alphanumeric

Occurs:

1

Allowable Values:

Y (Yes) There is documentation in the medical record that the patient is cognitively impaired.

N (No) There is no documentation in the medical record that indicates the patient is cognitively impaired.

Notes for Abstraction:

Suggested Data Sources:

Consultation notes

History and physical

Nursing admission assessment

Progress notes

Nursing notes

Additional Notes:

Guidelines for Abstraction:

Inclusion

Exclusion

Cognitive impairment

Cognitively impaired

Confused

Memory loss

Mentally retarded

Obtunded

Temporary cognitive impairment due to acute substance use (e.g., overdose or acute intoxication)